Sladen and Burgess identified roentgenographic findings associated with a poor outcome following profundoplasty performed in a patient with femoropopliteal occlusive disease. These can help identify patients whose care should be reconsidered prior to surgery. The authors are from the University of British Columbia and St. Paul's Hospital in Vancouver.
Ominous signs during arteriography:
(1) inflow to (origin of) the profunda femoris artery open (patent, no obstruction)
(2) superficial femoral artery patent and "competing" for flow
(3) collateral circulation in the lower thigh poor (involving the distal profunda femoris artery)
(4) visualization of the tibial arteries in the calf poor
When one of these findings was present the percent of limbs that failed ranged from 66-80%.
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